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Victorville California Request for Qualified Medical Evaluator for Workers' Compensation
Category:
State:
California
City:
Victorville
Control #:
CA-106-WC
Format:
PDF
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Description
How to fill out California Request For Qualified Medical Evaluator For Workers' Compensation?
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FAQ
Qualified medical evaluators (QMEs) are qualified physicians who are certified by the Division of Workers' Compensation - Medical Unit to examine injured workers to evaluate disability and write medical-legal reports. The reports are used to determine an injured worker's eligibility for workers' compensation benefits.
The purpose of a Qualified Medical Evaluator (QME) examination is to obtain a second medical opinion to help resolve disputed. medical issues in your workers' compensation claim(s). If you are an injured worker who is not represented by an attorney, use.
You must have given your employer or the claims administrator a claim form before you may get a QME or any benefits. Answer all of the questions on QME form 105, sign the form and mail it to the DWC Medical Unit. The DWC Medical Unit will use the information on the form to issue a ?QME panel?.
They will examine you and all your medical records to determine the extent of your work-related injury. They will decide if you have any permanent disability and what future medical care you may need.
